Provider Demographics
NPI:1467450791
Name:RAPPAPORT, ALEXANDER ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ABRAHAM
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2410
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779-2410
Mailing Address - Country:US
Mailing Address - Phone:727-581-2706
Mailing Address - Fax:727-586-3743
Practice Address - Street 1:5900 CENTRAL AVE
Practice Address - Street 2:STE I
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1606
Practice Address - Country:US
Practice Address - Phone:727-344-3008
Practice Address - Fax:727-347-2806
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME15384207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D58168Medicare UPIN
71732ZMedicare ID - Type Unspecified